| Fairview Medical | |
|
43 Fairview Ave Verona NJ 07044 | |
| (201) 263-1047 | |
| Not Available |
| Full Name | Fairview Medical |
|---|---|
| Speciality | Internal Medicine |
| Location | 43 Fairview Ave, Verona, New Jersey |
| Authorized Official Name and Position | Colleen Dougherty (BILLING) |
| Authorized Official Contact | 2012631047 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairview Medical 43 Fairview Ave Verona NJ 07044 Ph: (201) 263-1047 | Fairview Medical 43 Fairview Ave Verona NJ 07044 Ph: (201) 263-1047 |
| NPI Number | 1437181773 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 03/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437181773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MB06569500 (New Jersey) | Primary |
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